Active NPI
Joyce-Nicole Pachence, PA-C
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1275513723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3354
- Practice address
- 4800 N. 22ND St.
Phoenix, AZ 85016 - Phone
- (602) 955-1000
- NPI assigned
- Jan 19, 2006
- Last updated
- May 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3354 | AZ | Primary |
Addresses
Primary practice location
4800 N. 22ND St.
Phoenix, AZ 85016
Mailing address
4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002776 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3354 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Interoperability endpoints
- joyce-nicole.pachence@13475020865540.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431734400000",
"number": "1275513723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N 22ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164701",
"telephone_number": "602-955-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N. 22ND ST.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-955-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHENCE",
"first_name": "JOYCE-NICOLE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2015-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002776",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.